The evaluation of cervical spinal angle in patients with acute and chronic neck pain

Aşkın, Ayhan; Bayram, Korhan Barış; Demirdal, Ümit Seçil; Atar, Emel; Karaman, Çiğdem Arifoğlu; Güvendi, Ece

doi:10.3906/sag-1601-179

Cited by 10 publications

(6 citation statements)

References 20 publications

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“…All the cervical lordosis angles showed non-significant correlations to the pain scores. The results of our study are comparable to a study carried out by Aşkin et al, 21 who found no correlation between acute and chronic neck pain and the orientation of the cervical vertebrae. A shared limitation between the current study and that of Aşkin et al is a small sample size, which may contribute toward the lack of significant correlation.…”

Section: Discussionsupporting

confidence: 90%

The Influence of Cervical Spine Angulation on Symptoms Associated With Wearing a Rigid Neck Collar

Kelani

Lee

Walker

et al. 2021

Geriatr Orthop Surg Rehabil

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Introduction: Rigid cervical spine collars can be used to maintain the position of the cervical spine following injury or surgery. However, they have been associated with difficulty swallowing, pressure sores and pain, particularly in older patients. We aimed to investigate the relationship between cervical spine angulation, a rigid neck collar and neck pain in healthy young and older adults. Methods: Twenty healthy young adults aged 25 ± 3 years and 17 healthy older adults aged 80 ± 8 years were tested. Magnetic resonance imaging scans of their cervical spines were taken before and after the rigid neck collar was worn for 1 hour. Measurement of vertebral angulation involved digitization of the scans and joint angle calculations using image processing software. Pain was quantified before and after the collar was worn, using a visual analogue scale. Results: Pain scores increased in the young group after the collar was worn (p = 0.001). The older group showed no difference in pain score after the collar was worn. Statistical tests showed no significant correlations between the change in cervical angles and the change in pain scores after the collar was worn. Discussion: The aging process may contribute to the changing distribution of subcutaneous tissue and increase risk of symptoms associated with wearing a collar. Oesophageal compression is not a result of collar use. Conclusion: There is no correlation between cervical spine vertebrae angulation and symptoms associated with wearing a neck collar. Generally, older individuals have greater cervical lordosis angles, and more straight and lordotic neck shapes. Older individuals may be more prone to skin-interface pressures from the neck collar than younger individuals.

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Section: Discussionsupporting

confidence: 90%

The Influence of Cervical Spine Angulation on Symptoms Associated With Wearing a Rigid Neck Collar

Kelani

Lee

Walker

et al. 2021

Geriatr Orthop Surg Rehabil

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“…Pain and functional improvements were assessed using visual analogue scale (VAS) and neck disability index (NDI). 6 Measurement of Radiographic Parameters The radiographic film cassette was placed 72 inches from the tube, and radiographs were taken without magnification. Digital X-ray photographs were collected from the PACS method, which were used to collect orientation measurements.…”

Section: Methodsmentioning

confidence: 99%

CO-relation between cervicothoracic angle and neck pain in adults

Dwivedi¹,

Dagar²,

Dwivedi³

et al. 2020

SUJHS

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Neck pain is the fourth most common cause of disability after lower back pain, depression, and joint pain. Cervical sagittal balance is as crucial as pelvic sagittal alignment and is related to the concept of T1 alignment. Materials and Methods: An observational cross sectional study was conducted on 235 Patients diagnosed as neck pain and treated at our institute between August 2017 to July 2019 with age between 20-80 years with neck pain complaints and on medication were included in this study. Pain and functional improvements were assessed using visual analogue scale (VAS) and neck disability index (NDI). Standing lateral view and standing swimmers lateral view of cervical spine radiographs were taken and studied for evaluating cervicothoracic parameters T1 slope and SVA (Saggital Vertical Axis) C2-7, following neck pain and compared with normal ranges. Variations of these criteria have been reported along with the scores of the questionnaire. Statistical analysis was carried out using the edition 21.0 of the Statistical Package for Social Sciences (SPSS). Results: After analysis, it was found that the average T1 slope was 27.82 + 14.33, the average male T1 slope was 26.74 + 14.21 and the average female T1 slope was 28.56 + 14.42. According to Sang et al average T1 slope is 25.7.5 + 6.4 which was taken as a reference for comparison with the asymptomatic population, our study had an increased value but was not significant. Conclusions: The pain in the neck increases with age. It is more prevalent in females. Study shows an increase in neck pain with increasing age due to degenerative changes in the T1 slope, SVA C2-C7. There is no significant correlation with cervical and neck pain or disability but a good relationship between the two. There was no substantial difference in cervical curve between symptomatic and asymptomatic patients.

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“…Cervical spinal angle is the angle between the straight lines that connect the posterior edges of the C2 and C7 vertebrae, and in the normal case, it is between 31° and 40°. [39,40] In patients with CNP, the cervical spinal angle tends to decrease compared to acute, [41,42] and there is a significant relationship between neck pain and angle in the case of less than 20°. [43] In this trial, the cervical spinal angle of the baseline will be compared with that of 9W.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness and safety of polydioxanone thread embedding acupuncture compared to physical therapy in the treatment of patients with non-specific chronic neck pain

Kim

et al. 2019

Medicine

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The evaluation of cervical spinal angle in patients with acute and chronic neck pain

Cited by 10 publications

References 20 publications

The Influence of Cervical Spine Angulation on Symptoms Associated With Wearing a Rigid Neck Collar

The Influence of Cervical Spine Angulation on Symptoms Associated With Wearing a Rigid Neck Collar

CO-relation between cervicothoracic angle and neck pain in adults

Effectiveness and safety of polydioxanone thread embedding acupuncture compared to physical therapy in the treatment of patients with non-specific chronic neck pain

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